Individual
MR. TIMOTHY NEAL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ED., LCPC
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 383-1850
(217) 383-3439
Mailing address
611 W PARK, FAPC, CHAMPAIGN, IL 61801
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180005526
IL
101YP2500X
Professional Counselor
180-005526
IL
Other
Enumeration date
04/11/2007
Last updated
04/23/2025
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